1. Subject Area: Solution-Focused /Client-Directed Therapy - Iowa ...

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6. Subject Area: Solution-Focused /Client-Directed Brief Therapy/Brief InterventionsMesa Grande: a Methodological Analysis of Clinical Trials of Treatment for Alcohol Use DisordersAuthor/sIndividualized or GroupIntervention?Outcome/sMeasuresSubjects Info Randomized ControlledTrial?Miller, and Wilbourne N/A Varied Multiple studies Over 70% of the studiesoutcomes and subjects. included were RCT’s.dependent onstudy reviewed.Generalizable to Iowa?Somewhat. Strongestefficacy found for briefinterventions, social skillstraining and communityreinforcement approaches.CitationMiller, W. R., & Wilbourne, P. L. (2002). Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. Addiction, 97, 265-277.Abstract/Results/Notes: Miller and Wilbourne reviewed 361 controlled studies (over 70% of which were randomized controlled studies).Brief interventions, motivational enhancement, and behavioral training/management therapies, including community reinforcement approaches dominated the topten list of treatment methods supported by controlled trials. Results support the importance of paying particular attention to client’s social network, social skillsdevelopment, community reinforcement and marital therapy.Abstract/Results/Notes: Miller and Duncan continued their discussion of the need for outcome-informed clinical work that includes client evaluation of theprocess as optimal for successful treatment work. Miller and Duncan argued the need for clinicians to be more concerned about the therapeutic relationship andwhether or not engagement has moved treatment forward than the support of any particular model.
7. Subject Area: Solution-Focused /Client-Directed Brief Therapy/Brief InterventionsThe Efficacy of Motivational Interviewing: A Meta-Analysis of Controlled Clinical TrialsAuthor/sIndividualized or GroupIntervention?Outcome/sMeasuresSubjects Info Randomized ControlledTrial?Burke, Arkowitz and Individual interventions.N/AMencholaGeneral overseveral theoriesand modelsfrompsychotherapyliterature.Not all. This is a metaanalysisof controlledtrials some withrandomized and other not.Generalizable to Iowa?Yes. Promising work thatmay improve retention andengagement of clients andclinicians in the therapeuticprocess.CitationBurke, B. L., Arkowitz, H., & Menchola, M. ( 2003 October). The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Journal ofConsulting and Clinical Psychology, 71(5), 843-861.Abstract/Results/Notes: Adaptations of Motivational Interviewing (AMI), were equivalent to other active treatments and moderate effects compared with notreatment and or placebo were reported for drug and alcohol interventions. The article reviewed research focused on the individual delivery of the four basic MIinterventions developed by Miller and Rollnick of expressing empathy, developing discrepancy, rolling with resistance, and supporting self-efficacy. Moderateefficacy was reported. Fifty-one percent (51%) of clients who received AMI treatment were improved at follow-up compared with 37% of those receiving notreatment or treatment as usual.“...there have been no empirical tests of a “pure” form of motivational interviewing, as defined by Miller and Rollnick (1991, 2002), that have not beenconfounded by feedback or other clinical strategies. At this point, we do not know whether feedback, motivational interviewing, or the combination is essentialto produce a therapeutic effect.”
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1. Subject Area: Solution-Focused /Client-Directed Therapy - Iowa ...

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